Clinical efficacy of precise hepatectomy in patients with primary hepatic carcinoma

Objective To explore the clinical efficacy of precise hepatectomy in patients with primary hepatic carcinoma(PHC).Methods One hundred patients with PHC were equally divided into groups of A(treated with precise hepatectomy)and B(treated with conventional hepatectomy). CT 3-dimentional reconstruction and computer-assisted plan before operation were conducted in group A,in which precisely ultrasonic localization and hemihepatic vascular occlusion were carried out during operation.Total hepatic vascular occlusion was conducted by Pringle way in group B.Clinically relevant indicators in two groups were analyzed.Results Compared with group B,operative time was longer in group A[(174.6±41.9)min vs.(254.8±29.8)min],the time of anus exhausting and hospital stay were shorter in group A[(83.6±6.5)min vs.(74.6±5.2)min and(17.1±2.3)d vs.(14.3±1.4)d],blood loss and abdominal drainage during operation were less in group A[(654.2± 196.1)ml vs.(487.1±119.4)ml and(784.1±150.3)ml vs.(648.2±114.5)ml],peak of ALT on the 7th day and incidence rate of complication after operation were lower in group A[(495.1±291.1) U/L vs.(356.8±162.6)U/L and 26% vs.10%)](P0.05).Conclusion Precise hepatectomy is safer and more effective than conventional hepatectomy in the treatment of PHC.